Dr. K Raji, K10069, Dr. Vijay Mathur, Dr. (Maj) Shrikant Waikar, Dr. Jaya Kaushik
Purpose: To report a case of pituitary macro- adenoma presenting as ocular hyper tension
Method: Observational Case Report
Case Report:We report a 49 years old male patient with no previous ocular or systemic disease, presented to our OPD with the history of mild blurring of vision left eye of 3 months duration. Diagnosed as a case of primary open angle glaucoma and advised detailed evaluation elsewhere, and reported to our center for the same. Best corrected visual acuity 20/20 both eyes. Pupils: Briskly reacting. Intra Ocular Pressure: 25 and 27 mm of Hg( Diurnal variation: 20-27 in right eye and 18-27 mm of Hg in left eye). Gonioscopy: Open Angles. Fundus: Mild temporal pallor on optic disc. Rest was unremarkable. Visual fields: Bilateral hemianopia. MRI Brain and orbit revealed pituitary macro adenoma. Individual underwent transphenoidal hypophysectomy, and intra ocular pressure returned to normal, on follow up without any medication.
Conclusion: Pituitary tumours can present as glaucoma with reversible rise in IOP